PWI Volunteer Enrollment Application
Adm-HR 2.8, Rev. 0, Date: 1/2022
Personal Information
Application Date
*
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Month
-
Day
Year
Date
Name
*
First Name
Last Name
Current Occupation
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
*
Please enter a valid phone number.
Cell Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
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Emergency Contact in Case of Emergency
Name of Emergency Contact
*
First Name
Last Name
Address of Emergency Contact
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Phone Number 1:
*
Please enter a valid phone number.
Emergency Contact Phone Number 2:
Please enter a valid phone number.
Relationship to Volunteer:
*
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Volunteer Availability
Please check the boxes below for the days of the week and times of day you are interested in volunteering.
*
Morning
Afternoon
Evening
Flexible
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Additional comments regarding availability
How many hours are you willing to volunteer per week?
*
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General
Do you speak any languages other than English? Please list:
Please list previous volunteer experience:
*
Which position(s) are you interested in?:
*
Morning Check in Greeter
Afternoon Check in Greeter
3p-4p Game and Craft Activity Leader
Money Count Tutor
Resume Assistant
Job Search Assistant
Open
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PERSONAL CHARACTER REFERENCES
Please provide 3 personal references that we may contact.
Name of Reference 1
*
First Name
Last Name
Reference 1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference 1 Home Phone Number
Please enter a valid phone number.
Reference 1 Cell Phone Number
*
Please enter a valid phone number.
Reference 1 Work Phone Number
Please enter a valid phone number.
How long has s/he known you?
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Name of Reference 2
*
First Name
Last Name
Reference 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference 2 Home Phone Number
Please enter a valid phone number.
Reference 2 Cell Phone Number
*
Please enter a valid phone number.
Reference 2 Work Phone Number
Please enter a valid phone number.
How long has s/he known you?
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Name of Reference 3
*
First Name
Last Name
Reference 3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference 3 Home Phone Number
Please enter a valid phone number.
Reference 3 Cell Phone Number
*
Please enter a valid phone number.
Reference 3 Work Phone Number
Please enter a valid phone number.
How long has s/he known you?
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Statement of Agreement
As a volunteer at Project WILL, I hereby give permission for Project WILL to request background information and I also authorize all persons, schools, companies, and law enforcement authorities to release any information Project WILL desires concerning my background and release any and all liability for any damage, real or implied, for issuing this information. I also authorize Project WILL to obtain specific investigative consumer reports as part of the process including a Criminal History Background Check. I understand that Project WILL requires volunteers to report to duty alcohol free and free from the influence of any drug (prescribed or otherwise) that may affect my ability to perform the duties of my volunteer assignment.
I understand that any violation of this policy, may result in immediate termination from the volunteer program. Further, I acknowledge that the information I have provided on this application is true to the best of my knowledge.
Volunteer Signature
*
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Submit
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